Gum Holes: What to Do About Decayed Tooth Roots

There is a hole in the gum?

Doctor, I have a tooth that hasn't undergone root canal treatment and has decayed down to just the root.
Recently, a hole appeared in the gum above the decayed root, and I can see that it's dark inside.
I'm not sure if it's the decayed root or bone.
What should I do? Should I just have it extracted?

Hei Pi, 30~39 year old female. Ask Date: 2021/11/05

Dr. Zeng Guanghui reply Dentistry

It is recommended that if the gums are severely swollen and painful, one should first take antibiotics and anti-inflammatory pain relievers to reduce swelling before consulting a dentist for a cleaning, in order to avoid recurrent infections.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2021/11/05

More Info

When dealing with a decayed tooth root that has resulted in a hole in the gum, it's essential to understand the underlying issues and the best course of action. The situation you described, where the tooth has decayed to the point of leaving only the root and the gum has developed a hole, indicates a significant dental problem that requires prompt attention.

Understanding the Condition
1. Tooth Decay and Root Issues: The decay of a tooth can lead to the deterioration of the tooth structure, often resulting in the exposure of the tooth root. When the root is exposed, it can become a site for infection, leading to further complications such as abscess formation. The dark appearance you see in the hole could be a sign of necrotic tissue or decay, which can be harmful if left untreated.

2. Gum Health: The presence of a hole in the gum suggests that there may be an infection or significant inflammation in the surrounding tissues. This can lead to gum disease, which can affect not only the affected tooth but also neighboring teeth and overall oral health.

Recommended Actions
1. Consult a Dentist: The first step is to consult with a dentist as soon as possible. They will perform a thorough examination, possibly including X-rays, to assess the extent of the decay and the condition of the surrounding bone and gum tissue. This is crucial for determining the best treatment plan.

2. Possible Treatments:
- Root Canal Treatment: If the tooth root is still viable and there is a chance to save the tooth, a root canal treatment may be recommended. This involves removing the decayed tissue from the root, cleaning the canal, and sealing it to prevent further infection.

- Extraction: If the tooth is beyond saving, extraction may be necessary. This involves removing the entire tooth, including the root. After extraction, the dentist will discuss options for replacing the tooth, such as dental implants or bridges.

- Gum Treatment: If there is an infection present, your dentist may prescribe antibiotics to manage the infection before any surgical procedures. Additionally, they may recommend treatments to promote gum healing.

3. Post-Extraction Care: If extraction is performed, follow your dentist's post-operative care instructions carefully. This may include pain management, maintaining oral hygiene, and possibly using saltwater rinses to promote healing.

4. Long-term Considerations: After addressing the immediate issue, it’s important to consider long-term dental health. Regular check-ups and maintaining good oral hygiene can help prevent similar issues in the future. If a tooth is extracted, discuss with your dentist the best options for replacement to maintain your dental structure and function.

Conclusion
In summary, dealing with a decayed tooth root and a hole in the gum is a serious dental issue that requires professional evaluation and treatment. While extraction may seem like a straightforward solution, it’s essential to explore all options, including the possibility of saving the tooth through root canal treatment. Always prioritize consulting with a dental professional to ensure the best outcome for your oral health.

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